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283 - Transition to Registered Nurse Practice - Comp 1/ Week 1 - 4 Discussions / Dr. Blackburn (Quizzes with Certified Solutions). CRC can metastasize (through blood or lymph) to the liver (most common site), lungs, brain, or bones. Spreading can occur $9.99   Add to cart

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283 - Transition to Registered Nurse Practice - Comp 1/ Week 1 - 4 Discussions / Dr. Blackburn (Quizzes with Certified Solutions). CRC can metastasize (through blood or lymph) to the liver (most common site), lungs, brain, or bones. Spreading can occur

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283 - Transition to Registered Nurse Practice - Comp 1/ Week 1 - 4 Discussions / Dr. Blackburn (Quizzes with Certified Solutions). CRC can metastasize (through blood or lymph) to the liver (most common site), lungs, brain, or bones. Spreading can occur as a result of peritoneal seeding (during ...

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  • November 9, 2024
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  • 283 - Transition to Registered Nurse
  • 283 - Transition to Registered Nurse
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283 - Transition to Registered Nurse Practice -
Comp 1/ Week 1 - 4 Discussions / Dr.
Blackburn (Quizzes with Certified Solutions).
CRC can metastasize (through blood or lymph) to the liver (most common site),
lungs, brain, or bones. Spreading can occur as a result of peritoneal seeding
(during surgical resection of tumo - Answer: ✦ Major risk factors for colon cancer
are:
✦ Over the age of 50
✦ Family Hx of cancer
✦ First degree relative w/ colon cancer increases risk 3-4x
✦ Crohn's disease & ulcerative colitis
✦ Pylori and HPV increase risk
✦ African Americans are at higher risk
✦ Smoking, obesity, high-fat diet, inactivity, and alcohol consumption
✦ Screening recommendations for those over the age of 50 without a family Hx:

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,- Fecal occult blood yearly AND one of the following:
** Colonoscopy every 10 years
** Sigmoidoscopy every 5 years
** Double-contrast barium enema every 5 years
- With increased risk factors screening may be indicated at an earlier age
- Teaching points for colon cancer prevention:
✦ Consume a diet rich in calcium (calcium binds to free fatty acids and bile salts in
the lower gastrointestinal tract)
✦ Consume a diet low in fat and simple carbohydrates but high in fiber.
✦ Age-specific regular colorectal cancer screening
✦ Genetic testing for familial adenomatous polyposis and hereditary nonpolyposis
colorectal cancer for those whose family members have had hereditary colorectal
cancer
✦ Engage in healthy lifestyle, including regular physical exercise and no smoking
or excessive alcohol use.


For a patient Dx w/ a Pulmonary Embolism - who may be included in the
Interdisciplinary Team? - Answer: ✦ Pulmonologist - to manage lung function
✦ Respiratory Therapist - for oxygen therapy
✦ Physical Therapist - to maintain muscle conditioning
✦ Occupational Therapist - for information and home suggesting for energy
conservation if endurance is affected
✦ Dietician - for caloric and protein needs
✦ Pastoral care/clergy - for those experiencing spiritual distress
✦ Social workers/homecare nurses - to arrange care needs at home

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, ✦ Mental health professional - for coping support


Details on inserting NG tube for gastric decompression - pg. 1013 Saunders - -
Answer: ✦ patient should be in high-fowlers position
✦ measure & tape tube to indicate length to be inserted
✦ lubricate tip before inserting in nasopharynx & advancing
✦ as tube enters back of throat - have pt swallow sip of water (unless
contraindicated) - flex head toward chest while passing tube down throat into the
stomach
✦ secure tube
✦ confirm placement w/ x-ray
✦ connect to suction


Patients experiencing a PE - heparin therapy is prescribed for at least 5 days -
warfarin is also started on most patients on day 1 or 2 of heparin therapy - the
patient will receive both heparin & warfarin until the INR reaches 2-3. Heparin is
infused for 24 hours after the INR is greater than 2, then the Heparin is
discontinued. The overlap period of at least 5 days for Warfarin & Heparin is
necessary because the drug action of each is different. Warfarin works in the liver
to inhibit the synthesis of Vit K-dependent clotting factors and takes 3-4 days
before a therapeutic effect is realized. - Answer:


As an entry level nurse, it is important that you understand monitoring of lab
values for patient prescribed anticoagulants such as Heparin and Warfarin. What



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